Today is the subject: osteochondrosis of symptoms and treatments of the lumbar column, which we will analyze in more detail in our article.Most people have met back pain at least once in their lives.Applies particularly to the population after the age of 30, the very reason for the occurrence of unpleasant sensations in the lower back.
The causes of osteochondrosis of the lumbar column
There are only 5 lumbar vertebrae in the human body, they are wide and thick, because they carry the main load.It is their physiological characteristic and their greatest mobility that increases the risk of degenerative changes - osteochondrosis.
The most important factor in the formation of disks wear and tear is the constant overload of the department, which is aggravated by long -term sedentary work, hard work, poor posture and many other factors.All these causes cause muscle overvoltage, alteration in tissue blood supply and cause additional load on ligaments and joints.
The hyalin intervertebral cartilage destruction processes are based on the loss of humidity.A healthy spine can withstand a load of more than 500 kg.In the event of loss of hydrophilic properties, elasticity is lost, the disc becomes flatter, the distance between the vertebral bodies decreases.
Several factors in the development of lumbar osteochondosis are distinguished:
- Increase in physical activity and weight.
- Injuries.
- Violations of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoking, alcohol abuse.
- Posture violation (scoliosis, cyphosis, lordosis, fucked).
- Flat feet.
An important role is played in the formation of obesity of degeneration.It causes not only an increase in pressure on the spine, but also causes metabolic disorders, hormonal shifts.
Symptoms and diagnosis
In medicine, the basis of the symptoms of osteochondrosis is pain.It has a lot of variations - acute and clear pain, or, conversely, pulling and pressing.Due to unpleasant sensations, a sick person is often barely given to simple things that project themselves from a chair, a bed, walking.
Often, pain appears in the form of a "change" - to an awkward movement, raising gravity.With the worsening of the destruction processes of pain exacerbation, it can occur with cough and sneezing.
According to a forced restriction of activity, the flexibility of the spine is reduced, it becomes more difficult to fold, the shoe.
In addition to the vertebral symptoms (which are only at the rear), there are a number of extremes (spread out beyond the lower back).
This can be:
- LyubmoiChachei-Pain along the sciatic nerve (Lombo-Sacrée osteochondosis is the most sensitive to this symptom).
- Neurological disorders in the lower limbs - altered sensitivity, pain in the march, paresis is possible.
More and more doctors come to the conclusion that osteochondrosis itself does not hurt, all tangible symptoms are a complication of osteochondosis.They therefore write in the diagnosis: "In the context of osteochondrosis ..." almost 80% of pain occurs from muscle inflammation and the formation of trigger points due to myofascial syndrome.
Diagnosis
Intensive back pain can be caused by many reasons.Consequently, it is important to establish a precise diagnosis, and osteochondrosis of the lumbar column with different symptoms and treatment is a common concept.To start, it is necessary to pass a certain number of general tests - biochemistry, blood, urine.They will help identify inflammatory processes, determine the condition of the body and the level of damage.
As a specialized study, it is recommended to lead an x -ray of the spine in two projections - lateral and right.Clarification of complications is often necessary, an MRI is used for this.
When there is no way to conduct Tomographic studies, myelography will be prescribed - an X -ray examination with a contrasting matter, which is introduced into the subsidian space of the spinal cord.
Treatment and prevention
Symptoms of lumbar column osteochondrosis require urgent measures in the selection of therapy.During periods of acute pain, complete rest is recommended.To maximize the musculoskeletal system.
Important:During the exacerbation period, only drug treatment, massage, physiotherapy and exercise therapy are indicated for the pain relief period.
What drugs will help osteochondrosis:
- Analgesics.
- Non-steroidal anti-inflammatory drugs (NSAIDs).They should be introduced into the courses.
- UNGUENTS with local and anti-inflammatory differences.
- Musorelaxing - to relieve tension in the muscles.
- Support therapy - Vitamin C as an antioxidant, group B, PP to improve microcirculation, accelerate tissue regeneration.
Thoroughly:NSAIDs are prescribed with gastrotrotter to reduce the negative effect of drugs on the gastrointestinal tract.
If complications occur in the form of a violation of sensitivity, treatment in the hospital is prescribed.It is possible to use the local administration of steroid drugs to relieve inflammation.
After the main treatment, they offer to undergo a chondroprotective course which restore the cartilage of the disc.
Manual therapy
The manual therapist acts on the spine with his hands and puts the vertebrae in place - the patient immediately feels relief.
During the 3-5 sessions of the manual therapist, the distance between the vertebrae increases, the load on them is distributed uniformly, the blood circulation and the nutrition of the damaged area improve.The patient is quickly restored and can return to the usual life.
After the course of procedures, the manual therapist will recommend a set of exercises to consolidate the result.
Physiotherapy
Physiotherapeutic treatment relieves spasms and improves blood circulation.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonophoresis, diadynamic currents, magnetic resonance therapy, amplipulse, ultrasonic therapy, vibration massage.It is wonderful to continue physiography at home by budgetary applications.
- Kuznetsov applicator.
- Patch with pepper.
- Banks for osteochondrosis.
Massage
Massage is prescribed during the recovery period only after the elimination of acute pain.It relieves tension, increases blood flow, considerably improves the patient's condition.The use of warming ointments increases the efficiency of the massage.Its action intensifies during the bath visit, if there are no contraindications.
Complex treatment
Treataries of Spa, Resort show excellent results in the rehabilitation period.Baths with hydrogen sulfide, radon, bromine relax and contribute to catering.If there is a financial opportunity, it is better to be treated in specialized stations.
Surgery
It is only used in cases of serious complications, when the rest of the methods has not helped: if it is not possible to get rid of pain for more than 4 months or there are signs of serious compression of the nerve roots.A destroyed disc is generally deleted (discock).If possible, they try to carry out modern soft - microsurgical and endoscopic interventions;The rehabilitation period after them is 3 to 5 times shorter than after a traditional operation.
During periods of "decline", special exercises for stretching and elimination of trigger points are well managed to the consequences of osteochondosis.They weaken muscle spasm and support the muscle corset of tone.It is important to perform the complex gently, avoiding sudden movements.
Therapeutic gymnastics at home
LFK can also be done at home, after driving several classes with an instructor (to repair correct execution and not injure yourself).
Physical education is the main method of treatment and prevention of osteochondrosis in the lumbar column.Exercises strengthen the back muscles, contribute to the correct location of the nerves, to an increase in space between the vertebrae and to the complete blood supply to the tissues.
Important.Therapeutic gymnastics cannot be done with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar column.It is best to start with a small load and a small amplitude of movements.After removing the acute condition, lying in the bed, you can fold your legs with a simultaneous increase in your head.As it improves, the load is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt, to make inclinations;
- Standing, hands on the belt, to rotate the pelvis;
- "Cat": in the installation of the knee-elbow, fold, fold, turn your back, turn with a pool;
- "Scissors" and "bike" lying on the back;
- "Pillage with strings": standing, twisting the body, hands suspended in a relaxed manner behind the body towers;
- Lie on the ground, the legs are folded with the knees, make a torsion to the right and to the left.
In addition, do not forget the regular force exercises to strengthen the muscle corset (squat, pusher, bar), these two exercise zones are not divided, whatever they say.
If the lifestyle is inactive and the profession needs to sit or stand all day, the exercises must be carried out 3 to 5 times a day.It is useful to develop the habit of doing exercises whenever there is an appropriate minute: in the elevator, while the butt boil or microwave.
Regular therapeutic gymnastics gives a persistent therapeutic and preventive effect;But even the classes of a case in case reduce the manifestations of exacerbations.
The folk remedies provide good preventive support in the absence of exacerbation.You can drink decorations of mint and lime - has a soothing and muscle relaxation effect, contains a large number of vitamins and antioxidants.
Prevention
Learn to listen carefully to the body signals, rest in time and reduce the load.
- Follow the posture, especially when you have to sit for a long time.Select height furniture so that the back is necessarily sustained.
- Avoid long static loads (sit down, position, put in a curved state), take a break every hour - to do a small physical education or simply walk.
- Engage in the load, go to the swimming pool for the formation of a muscle corset, stretching.
- With flat feet, choose the right shoes and special supervisors.
- Excess corrected weight.
- Try to lead a healthy life.
- Use an orthopedic mattress and a pillow.
- Dress time, do not hypothermia, use a wool belt or a corset if necessary.
- Walk more: for example, get out of the transport to two stops earlier.
- Refuse a bag in favor of a backpack.
- In hard work, use a corset.
- Lift the gravity gently, without tremors and acute turns (you can hurt yourself).
Important.Learn to correctly lift the gravity: you cannot look so that the "lever" is formed in the lumbar region.When you lift something heavy, you have to fold your legs, not your back: sit down, take the article and get up with your back.
With age, the development of osteochondrosis of the lumbar column is inevitable, symptoms can be avoided, treated, greatly simplified, with a careful attitude towards you not to reduce the quality of life.
Take care of yourself and your spine!